Healthcare Provider Details

I. General information

NPI: 1518319045
Provider Name (Legal Business Name): ALYSSA SCHMIDT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/08/2016
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

140 ROUTE 303
VALLEY COTTAGE NY
10989-5906
US

IV. Provider business mailing address

140 ROUTE 303
VALLEY COTTAGE NY
10989-5906
US

V. Phone/Fax

Practice location:
  • Phone: 845-267-2172
  • Fax: 845-267-2173
Mailing address:
  • Phone: 845-267-2172
  • Fax: 845-267-2173

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: